Psychiatric Disorders From Chapters 3 and 4 of ICD10
Conditions
Brief summary
There are specific barriers to utilise psychotherapeutic services for refugees with mental health problems in the German public health care system. This study aims to evaluate additional organisational components that are hypothesised to improve service utilisation. In a randomised controlled trial, refugees with mental health problems are identified by peers, subsequently assessed by professional staff and referred to public psychotherapeutic health services who offer standard care. Participants are assigned to care as usual or to coordinated and peer supported mental health care; the latter includes several additional organisational assistance components, i.e. a coordination center, trained peers to support treatment utilisation, a support and training center for therapists, and a interpreter pool. Measures include service utilisation and symptom change after 6 months. Furthermore the study evaluates whether trained peers can correctly identify participants with mental health problems.
Interventions
OTHERcoordinated and peer supported mental health care
Health services, coordination of services, method to support utilization
BEHAVIORALstandard psychotherapeutic care in the public healthcare system
Psychotherapeutic services that are financed by the public health insurance system.
Sponsors
Vivo international e.V.
University of Konstanz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Psychiatric diagnosis from Chapters 3 and 4 of ICD10 * Participant applied for asylum in Germany * Entry to Germany after 2012 * Participants is motivated to utilise psychotherapeutic services * Patient speaks one of the languages in which services are offered (i.e. German, English, French, Arabic, Kurdish, Dari, Farsi, Urdu, Pashto, Tirginya, Somali)
Exclusion criteria
* Mental disorder that requires inpatient treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Psychiatric symptom change | assessments 6 and 12 months after study inclusion | Self-report of psychiatric symptoms by means of questionnaires |
| Service utilisation | 6 months after study inclusion | Percentage of participants who utilise psychotherapeutic services |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage correctly identified refugees with mental health problems | two weeks | Comparison of peer screening and expert diagnostic assessment |
Countries
Germany
Outcome results
None listed